GOVERNMENT OF GOA DIRECTORATE OF SETTLEMENT & LAND RECORDS, PANAJI GOA. APPLICATION FORM 1. Name of the Applicant : 2. Address : House No. :________________________ Village /City :________________________ Taluka :________________________ Goa. I require the following services (please tick the required services) 1) Certified computerised copy of Plan. 2) Certified computerised copy of Village Map (Scale as available) 3) Certified Computerised copy of Village Map with detail. (Scale 1 : ) 4) Certified Xerox Copy of Registo do Agrimensor. 5) Certified Xerox copy of Old Plan. 6) Certified Copy of Sketch with measurement (Old). 7) Certified copy of Auto de Demarcacao. 8) Inspection of Survey Records. i) New Survey No. ii) Old Survey and Registers. iii) Communidade Plan. iv) Plans of Condade de Cuncolim DETAILS Details of Property: 1) Village :____________________________ 2) Taluka :____________________________ 3) Survey No./SubDiv.No. :____________________________ (Signature of the Applicant) Date : Place : GOVERNMENT OF GOA DIRECTORATE OF SETTLEMENT & LAND RECORDS, PANAJI GOA. Charges item wise in Details. 1) Certified Computerised copy of plan. Rs. 35/per Sub Division. 2) Certified Computerised copy of Village Map. Rs. 150/ 3) Certified Computerised copy of Village Map with detail First 10 Sheets Rs.200/, Subsequent Sheet Rs.30/each 4) Certified Xerox Copy of Rgisto do Agrimensor. Rs.40/+ Cost of Paper. 5) Certified Xerox Copy of Old Plan. Rs. 20/+ Cost of Paper. 6) Certified copy of Sketch with measurement (Old). Rs. 10/for each Measurement 7) Certified Copy of Auto de Demarcacao. Rs. 20/+ Cost of Paper 8) Inspection of Survey Records. Rs. 10/& }per hour Rs. 20/( If applicant do not know the Survey No.) } For Office use. To be collected on or after ___________________
